Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Facility		$1,569.13	$1,569.13	$1,569.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,520.13 / $1,569.13	Professional		$1,494.41	$1,520.13	$1,569.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.00 / $3,264.86 / $5,437.77	Facility		$1,523.00	$3,264.86	$5,437.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $2,503.53 / $3,266.58	Professional		$1,494.41	$2,503.53	$3,266.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,494.41 / $1,494.41	Facility		$1,409.82	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $897.11 / $1,617.42 / $3,113.88	Facility		$897.11	$1,617.42	$3,113.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,010.89 / $1,010.89 / $1,010.89	Professional		$1,010.89	$1,010.89	$1,010.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,494.35 / $1,542.24 / $1,856.59	Professional		$1,494.35	$1,542.24	$1,856.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.86 / $1,494.41 / $1,643.85	Professional		$1,374.86	$1,494.41	$1,643.85